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Organization
FUSION PHYSICAL THERAPY INC
Active
Organization
FUSION PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRET JOSEPH BACCIOCCO (CEO CLINICAL DIRECTOR)
(818) 783-2396
Entity
Organization
Contact information
Practice address
5000 VAN NUYS BLVD STE 314, SHERMAN OAKS, CA 91403-1852
(818) 782-2396
(818) 783-2467
Mailing address
1560 NEWBURY RD STE 1, #253, NEWBURY PARK, CA 91320-3448
(818) 783-2396
(818) 783-2467
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
10102
CA
Other
Enumeration date
12/14/2006
Last updated
09/28/2011
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